Izimpendulo zemibuzo evame ukubuzwa mayelana namawele okubhubha
Eminyakeni yamuva, ukusetshenziselwa ngcono kwe-ultrasound ekuqaleni kokukhulelwa kuye kwandisa imvamisa yokuxilongwa kokukhulelwa kwamabili , futhi ngeshwa, kuye kwaba nokwazisa okuphawulekayo ngesimo se- Vanishing Twin Syndrome (VTS). Nazi izimpendulo zemibuzo ejwayelekile ukubuzwa ngalesi simo.
Iyini i-Vanishing Twin Syndrome?
I-Vanishing Twin Syndrome ivela lapho kwenzeka ukuthi enye yezinsikazi ezimbili zezintathu iphela kusukela esibelethweni ngesikhathi sokukhulelwa, ngokuvamile iholela ekukhulelweni okujwayelekile okungaziwa.
Yini eyenzeka ngempela?
Enye yezingane ezikhulelwe ngokukhulelwa kwamabili zihamba ngezikhathi ezithile, ngokuvamile phakathi nenyanga yokuqala; izicubu zesisu zifakwe amanye amawele, i-placenta, noma umama, ngaleyo ndlela inika ukubonakala ukuthi amawele "aphelile."
Kutholakala kanjani?
Nasi isimo esivamile: Umama uthola i-ultrasound ejwayelekile ekuqaleni kokukhulelwa kwakhe, isibonelo kumasonto ayisithupha noma ayisikhombisa ukubeletha. Amadusi amabili atholakala. Umama utshele ukuthi unamawele.
Uma umama ebuyela kudokotela ngemva kwamasonto ayisithupha, ukushaya kwenhliziyo eyodwa kuphela kungenziwa nge-Doppler scan. Enye i-ultrasound yenziwa. I-fetus eyodwa kuphela ibonakala.
Kwezinye izimo, umama okhulelwe uhlangabezana nezimpawu ezingase zifane nokulinganisa ukuhamba kwesisu; kodwa ingane engashadile esiswini sayo isalokhu ingathinteki.
Kwenzeka kaningi kangakanani?
Ososayensi baqinisekisile ukuthi inani lamabono amawele lidlula kakhulu inani lababeletha ababeletha.
Ezinye izilinganiso zinikeza ukuthi umuntu oyedwa kwabayisishiyagalombili uqale ukuphila njengamawele, kuyilapho empeleni u-1 kuphela ku-70 empeleni angamawele. Encwadini ethi Having Twins (qhathanisa amanani), umbhali u-Elizabeth Noble uthi amaphesenti angu-80 ekhulelwe aholela ekulahlekelweni kwezingane ezimbili noma zombili. Ezinye izifundo zibikezela ukuthi i-Vanishing Twin Syndrome ibonakala ku-21 - 30% yazo zonke ukukhulelwa okuphindaphindiwe e-United States.
Kulinganiselwa ukuthi i-Vanishing Twin Syndrome izoba nendima ekukhulelweni kwe-ovulation engama-50%.
Kungani kwenzeka njalo kaningi?
Nakuba kubonakala sengathi izifo ze-Vanishing Twin Syndrome ziyanda ngezimvamisa ezivusa amadlingozi, kuvele nje ukuthi ukutholakala kwalesi simo kuye kwanda. Ukuthuthuka kwezobuchwepheshe be-ultrasound kuvumela odokotela banamuhla (nabazali) ithuba elihle lokubheka esibelethweni. Njengoba odokotela abaningi basebenzisa i-ultrasound esikhathini esiyi-trimester yokuqala, ukukhulelwa okuphindaphindiwe kubonakala. Futhi iphesenti elithile lalabo lizophazamiseka yi-Vanishing Twin Syndrome. Esikhathini esidlule, abesifazane abaningi bahlangabezana ne-VTS ngaphandle kokukwazi.
Yini ebangela yona?
Njengoba nje kungekho isizathu esicacile sokubamba imfucuza eminingi, azikho izizathu njalo noma izincazelo zokulahlekelwa kwe-fetus ekukhulelweni okuningi. Kwezinye izimo, i-fetus ayinakugwenywa ngenxa ye-chromosomal noma okungajwayelekile kwe-placental. Ucwaningo oluthile lubonisa ukuthi ngenxa yokuthi lezi zingavamile zivamile kubantu besifazane abadala, i-Vanishing Twin Syndrome ivele kaningi emanzini asebekhulile. I-Vanishing Twin Syndrome ivela ngokuvama okulinganayo emawele e-monozygotic ne- dizygotic , yize izinkinga zokwabelana nge-placenta phakathi kwamawele we-monochorionic monozygotic zingabangela isimo.
Ziyini izimpawu?
Kungenzeka kube khona izimpawu. Kodwa-ke, abanye omama babhekana nokuncipha okuncane, ukuphuma kwegazi noma ukuphuza komzimba, okufana nokukhulelwa kwesisu. Amazinga we-hormone eyancipha angase akhombise nokuthi i-fetus eyodwa ibuye isetshenziswe kabusha.
Iyini ukwelashwa?
Ngokujwayelekile, umama noma ingane engasele iyodinga noma yiluphi uhlobo lwezokwelapha. Uma i-VTS ivela ku-trimester yokuqala, umama uvame ukuqhubeka nokukhulelwa okujwayelekile futhi ahlinzeke nge-singleton enempilo. Kodwa-ke, ezimweni lapho umntwana efa khona emzimbeni wesibili noma wesithathu, umama angase athole umsebenzi wangaphambi kwesikhathi, ukutheleleka noma ukubola.
Kulezo zimo, odokotela bazobeka ukwelashwa okufanelekile kulezo zimo.
Yiziphi izinhlobonhlobo zomama?
Ngokwemvelo, akekho. Kodwa ngokomzwelo, umama angase abe nomuzwa wokungahambi kahle kokudabuka ngenxa yokulahlekelwa umntwana oyedwa kanye nokukhululeka kokusebenza kwengane ephilayo. Kubalulekile ukuthi abazali bazisole ngendlela ezwa ukuthi kufanelekile, bavume ukulahlekelwa kwengane kanye nokulahlekelwa kobunikazi babo njengabazali beziphindaphindiwe.
Yiziphi izinhlobonhlobo zezinhlangothi ezimbili eziphilayo?
Ezimweni eziningi ze-Vanishing Twin Syndrome yokuqala ye-trimester, ayikho impembelelo engokwenyama emathanjeni asaphila. Okuhlangenwe nakho kwesibeletho esinempilo okulandelwa ukulethwa okuvamile kufanele kulindeleke. Ukwenzeka kokukhulelwa kwesikhathi eside kwe-VTS kunezimpendulo ezithile kumntwana osusayo, njengalokhu kunina. Ngezinye izikhathi, izinsalela ze-fetus ehlaselwe kabusha zitholakala kumuntu osindile, ngesimo se-tumor ephethe i-bone, izinwele, amazinyo noma izicucu zomzimba. Abacwaningi bathole ukuthi emva kwamasonto angu-20, ingane ebusayo inobungozi obandayo bokuphefumula kwengqondo. Futhi ukufa okungafani nakho kungaba yingozi uma amawele engama-monozygous futhi ehlanganyela uxhumano lwe-vascular.
Kukhona ukucabangela okuningi mayelana nomthelela ongokwengqondo nengokomzwelo we-Vanishing Twin Syndrome. Abanye abasindile babika imizwa yokulangazelela, ukulahlwa, ukukhathazeka, izinkinga noma ubudlelwano nobuhlobo noma ubulili.
Kwenzekani lapho amawele engapheli ngempela?
Ngezinye izikhathi, izinsalela ze-fetus ezingenakwenzeka zingatholakala kumama, i-placenta noma amawele amabili asaphila. Lokhu kungenzeka ukuthi kwenzeke phakathi nenyanga yesibili noma yesithathu. Nakuba ngokuvamile i-fetus izokwenziwa kabusha futhi igcinwe ingxenye, ukufa kwewele elilodwa emavikini angama-15 kuya kwangu-20 kungabangela i-fety papyraceous, i-paper encane-like, insali ehlwithayo yama-fetal. Isicubu se-tertoma esinamathe, izinwele, amazinyo noma izingcezu zezicubu sibonisa ukuthi i-Vanishing Twin.
Singaphi lapho sithola usizo?
Imindeni eye yabhekana ne-Vanishing Twin Syndrome ingadinga ukusekelwa nokukhuthazwa ekubhekaneni nokulahlekelwa kwabo okuyingqayizivele. Nazi ezinye izinhlangano ezinganikeza usizo.
I-Twinless Twins Support Group
I-Twinless Twins International
PO Box 980481
Ypsilanti, MI 48198-0481
(888) 205-8962
Isikhungo sokulahlekelwa ekuzalweni okuningi
CLIMB, Inc.
c / o uJohn Kollantai
PO Box 91377
I-Anchorage, i-AK 99509
(907) 222-5321
newsletter@climb-support.org
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